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目的提高对乳腺叶状囊肉瘤的认识,探讨早期诊断及治疗方法。方法回顾2007年4月-2009年6月收治9例乳腺叶状囊肉瘤患者的临床资料。结果 9例中有4例曾诊为纤维腺瘤,经1～3次局部切除术。行乳房单纯切除1例,扩大局部切除8例。其中1例术后3个月复发,再次行象限切除,随访3～14月。结论提高对乳腺叶状囊肉瘤认识是早期诊断的关键,早期治疗采用局部扩大切除(距肿瘤边缘大于2cm),对反复复发者采用单纯乳房切除。
Objective To improve the understanding of breast cyst cystosarcoma and explore early diagnosis and treatment. Methods We retrospectively reviewed the clinical data of 9 patients with phyllodesa cystosarcoma of the breast from April 2007 to June 2009. Results Four of 9 cases had been diagnosed as fibroadenoma, and they were treated with local resection. A simple breast resection in 1 case, enlarged local resection in 8 cases. One patient had a recurrence 3 months after surgery and re-exclusion of the quadrant was followed up for 3 to 14 months. Conclusions It is the key to early diagnosis to improve lobular cystosarcoma of breast. The early treatment uses local extended resection (greater than 2cm from the edge of the tumor), and simple breast resection is used for repeated recurrence.